Extrahepatic portal vein obstruction (EHPVO) is a common cause of portal hypertension in children. Portal decompression by shunt surgery provides definitive, one time management of these patients. We are presenting one patient with EHPVO where the conventional shunt procedures were not possible because of thrombosis of the major veins of the portal systems. A spleno-gonado-caval shunt was performed with excellent results. This procedure has not been reported earlier.